| NPI | 1710184411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101889) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 13789) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2025-12-12 |