| NPI | 1720206857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001082) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1574) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2010-06-16 |