| NPI | 1447513452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09481) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009713) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2020-11-25 |