| NPI | 1427876051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 007600) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101323) |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-02 |