| NPI | 1932543832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 4621) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 76413) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2024-07-18 |