| NPI | 1851419485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8686) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007735) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-10-06 |