| NPI | 1023231388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05183) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2776) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2017-02-21 |