| NPI | 1669687828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012318) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07748) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM 5126) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2015-03-27 |