| NPI | 1164619383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014032) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4179) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007024) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2019-02-27 |