| NPI | 1699148668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NH 0635) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 3248) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |