| NPI | 1700031101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL008856) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 7386) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2011-03-22 |