| NPI | 1467630434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09981) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2589) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2022-02-11 |