| NPI | 1629511480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78238-SP-SL) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2021-09-10 |