| NPI | 1134328677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: DE 01-0000713) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL004932L) |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2012-10-18 |