| NPI | 1568834695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 751) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 3313) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |