| NPI | 1750746194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8091) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1592) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |