| NPI | 1720352602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 0803) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5491) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |