| NPI | 1689240178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100927) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 6567) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2025-04-16 |