| NPI | 1033579990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08534) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025924-1) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL012849) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2021-04-07 |