| NPI | 1316378243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011701) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0000742) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |