| NPI | 1154510709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07429) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4355) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2019-04-23 |