| NPI | 1639448491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001229) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010662) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA10760) | |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 2264) | |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |