| NPI | 1053435727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL012340) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA8202) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-01-05 |