| NPI | 1972059954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 2302) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-9945-SL) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2024-02-27 |