| NPI | 1245418631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001040) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008785) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2018-09-13 |