| NPI | 1831864750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78198) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14313728) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |