| NPI | 1568945418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13871) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 76978) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2020-01-31 |