NPI | 1487221487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78643-SP-SL) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2021-06-08 |
Last Update Date | 2024-02-19 |