| NPI | 1376701169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0000939) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 03269) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2020-02-25 |