| NPI | 1457915746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3563) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77205) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2023-09-12 |