| NPI | 1801579214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77867) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026281) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |