| NPI | 1184992679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010989) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA 12153360) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2013-08-11 |