| NPI | 1578854527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07150) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009709) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2013-06-18 |