NPI | 1326173865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007570) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2007-02-23 |
Last Update Date | 2015-02-17 |