| NPI | 1528417748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1610) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-9854-SL) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2023-08-03 |