| NPI | 1508256553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 9527) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12085) |
| 235Z00000X Speech-Language Pathologist, (Licence: NH 1472) | |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2024-08-15 |