| NPI | 1811190051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009583) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP1089) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-07-24 |