| NPI | 1538521190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 03421228) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 0251201) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL012714) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |