| NPI | 1386058766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 005129) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7739) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2019-11-03 |