| NPI | 1972754547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13482) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009016) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2020-03-08 |