| NPI | 1740164680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101819) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |