| NPI | 1437699204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013224) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA 14042017) |
| 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001566) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |