| NPI | 1831725571 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: NC 30003276)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: MA 77539)  | 
| 235Z00000X Speech-Language Pathologist,   (Licence: NH 2156)  | |
| Enumeration Date | 2020-03-13 | 
| Last Update Date | 2024-11-07 |