| NPI | 1609450329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7779) |
| Enumeration Date | 2021-05-09 |
| Last Update Date | 2021-05-09 |