| NPI | 1427493063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA 77518) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2020-11-24 |