| NPI | 1831538461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-8906-SL) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: MA 8906) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2020-03-19 |