| NPI | 1730763020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78279) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 7295) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2022-02-04 |