| NPI | 1205016839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL0076688) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0000980) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2012-11-09 |