| NPI | 1467152637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100975) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2022024291) |
| 235Z00000X Speech-Language Pathologist, (Licence: UT 13488585-4102) | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-07-23 |