| NPI | 1750895827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0132345) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1906) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2024-10-02 |