| NPI | 1528016722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 01030-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL005381L) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-09 |