| NPI | 1679909162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001204) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 04944) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2014-06-09 |