| NPI | 1245400134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007889) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8258) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 06808) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2012-01-20 |