| NPI | 1972209971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 2314) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77766-SP-SL) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-03-08 |