| NPI | 1801322656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77888) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18560) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-10-15 |