| NPI | 1487815353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1264) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7716) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2015-09-15 |