| NPI | 1093167033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10035) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012659) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2022-03-08 |