| NPI | 1538345509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: MA 425566) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 7342) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2024-08-12 |