| NPI | 1528753548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8586) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 78348-SP-SL) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2024-02-19 |