| NPI | 1417364191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08403) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE o1-0001384) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2017-03-20 |