| NPI | 1104800119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: PA SL005969 L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL005969 L) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2007-07-08 |