| NPI | 1922490374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 8050884) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 8522) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |