| NPI | 1033520663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001441) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011606) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2021-04-26 |