| NPI | 1578702429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 7455) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1236) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2020-10-28 |