| NPI | 1538452677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001210) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008723) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2021-10-04 |