| NPI | 1154512481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008975) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005331) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2013-10-10 |