| NPI | 1720249287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 2797) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09141511) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |