| NPI | 1427493287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014149) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06928) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-03-02 |