| NPI | 1669803664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011710) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07161) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |