| NPI | 1811545452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 18.006391) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09530) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2021-12-08 |