| NPI | 1972790533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 0081107502) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 00841) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |