| NPI | 1982078655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NH 1474) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 9023) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |