| NPI | 1134436595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009971) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 001381) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2021-12-07 |