| NPI | 1366703712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07056) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11505) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2017-01-06 |