| NPI | 1265617989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06887) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4409) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2021-06-02 |