| NPI | 1790826568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA 1779) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 237420) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |