| NPI | 1952629099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07238) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009684) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2021-08-28 |