| NPI | 1700668886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14120) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100706) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |