| NPI | 1396357539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77564) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 113364) |
| 235Z00000X Speech-Language Pathologist, (Licence: RI SP01562) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |