| NPI | 1548694821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 76740) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2018-11-28 |