| NPI | 1477280477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101911) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 8877) |
| 235Z00000X Speech-Language Pathologist, (Licence: NH 3235) | |
| 235Z00000X Speech-Language Pathologist, (Licence: ME SP4500) | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2025-10-21 |