| NPI | 1619011517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0000752) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL004511L) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2010-08-25 |