| NPI | 1699935171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA 9216) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CT 004103) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2020-04-22 |