| NPI | 1780286930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77944) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 2050) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2021-12-15 |