| NPI | 1689792863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MD 06542) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ4162) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2011-03-03 |