| NPI | 1447568407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06854) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 0367A) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2018-11-14 |