| NPI | 1639169410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL003853L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 1045) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2007-07-08 |