| NPI | 1417141888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL003065L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV 1768) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2019-06-11 |