| NPI | 1255727210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001722) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011388) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2019-03-19 |