| NPI | 1417993981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007316) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1314) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2015-11-25 |