| NPI | 1043572514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05720) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009504) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |