| NPI | 1487845392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09972) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL003185L) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2021-10-13 |