| NPI | 1962142182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78378-SP-SL) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 14399528) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-31 |