| NPI | 1295133098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 9417) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012148) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |