| NPI | 1477069524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013803) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 682225) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |