| NPI | 1487152591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08983) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01556L) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2023-08-29 |