| NPI | 1447891817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MD 09510) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MD 01926L) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2020-11-18 |