| NPI | 1972652220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 6913) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1509) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-02-27 |