| NPI | 1285046532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013156) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-9094-SL) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2017-02-02 |