| NPI | 1730836248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134277) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 2165) |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-04 |