| NPI | 1417244203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013099) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001499) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2017-04-21 |