| NPI | 1386023554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: MA SP1126-SA) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2022-06-14 |