| NPI | 1790296630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77897) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 30587) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2024-03-26 |