NPI | 1376143842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78326) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH P-0833) |
Enumeration Date | 2020-10-26 |
Last Update Date | 2022-07-25 |