| NPI | 1891052387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 03-283897) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 2839) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2023-07-04 |