| NPI | 1548439177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA sL006187L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05534) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005233) | |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2020-11-04 |