| NPI | 1568928836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL012395) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: DE Q1-0001724) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |