| NPI | 1740689298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08016) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 6746) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2017-04-20 |