| NPI | 1508050006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001122) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2004024756) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL009718) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 06114) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00615600) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2017-07-17 |