| NPI | 1497935571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07104) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0000926) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2013-07-22 |