| NPI | 1245608207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013079) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 9992) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2016-09-09 |