| NPI | 1679816540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL014796) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 2013008763) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2020-05-05 |