| NPI | 1619133220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011034) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2052) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2014-12-11 |