| NPI | 1952551095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10046) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009370) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2022-01-11 |