| NPI | 1619398047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001588) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA 14046446) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2023-07-17 |