| NPI | 1063847226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07438) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6022) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2014-07-02 |