| NPI | 1487022737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07536) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012827) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2023-07-14 |