| NPI | 1134269830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL006130L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sa 5250) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2019-10-24 |