| NPI | 1578325064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100916) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 006978) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |