| NPI | 1457667271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007303) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11104) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2018-05-08 |