| NPI | 1518252642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001020) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008942) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |