| NPI | 1336311984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL001002L) |
| Additional Taxonomies | 171W00000X Contractor (Licence: PA SL001002L) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2012-07-11 |