| NPI | 1447543004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL-000817-L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: #00168948) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |