| NPI | 1336681360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL013208) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: DE 010001547) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |