| NPI | 1427513738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 3077) |
| Additional Taxonomies | 102X00000X Poetry Therapist |
| 174400000X Specialist (Licence: MA 3077) | |
| 174400000X Specialist | |
| 174400000X Specialist | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |