| NPI | 1043791114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001766) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O4-0000585) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2020-07-09 |