| NPI | 1497020903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001258) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012302) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2016-08-26 |