| NPI | 1457840894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012955) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001346) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |