| NPI | 1497149108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010283) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101001792) |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 6974) | |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |