| NPI | 1730776337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 13754) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77774) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2020-12-29 |