| NPI | 1982009700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 5557) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9178) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2023-06-13 |