| NPI | 1841755279 |
|---|---|
| Other Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06476) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MH 06476) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |