| NPI | 1235533464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012299) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11098) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2018-03-17 |