| NPI | 1871264044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78455-SP-SL) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9582) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2022-11-14 |