| NPI | 1548780513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1768) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 76695) |
| 235Z00000X Speech-Language Pathologist, (Licence: HI 1655) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2019-04-18 |