| NPI | 1649521279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 5365) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 8977) |
| 235Z00000X Speech-Language Pathologist, (Licence: RI SP01205) | |
| Enumeration Date | 2012-09-22 |
| Last Update Date | 2015-11-04 |