| NPI | 1467604066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 0680) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 4942) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2019-03-23 |