| NPI | 1891572103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 21664937) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134686) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-07-29 |