| NPI | 1891371522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA 77876) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: 14356139) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-09-29 |