| NPI | 1376081174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77108-SP-SL) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08783) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2018-12-28 |