| NPI | 1427495886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5252) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02539) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |