| NPI | 1487744181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007978) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8080) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-11-07 |