| NPI | 1114291861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL001641L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CT 004058) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |