| NPI | 1538688445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 7938) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 5319) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2020-09-21 |