| NPI | 1811353030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 76362) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7430) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2022-07-08 |