| NPI | 1396042610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06483) |
| 235Z00000X Speech-Language Pathologist, (Licence: DC 000045) | |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |