| NPI | 1154761179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP8317) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL011911) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2016-10-04 |