| NPI | 1821605221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14310767) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 78091) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 02221L) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2022-02-24 |