| NPI | 1356776470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011933) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001335) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2016-05-17 |