| NPI | 1306247119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07963) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01029L) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2016-02-24 |