| NPI | 1598069411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08782) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010963) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP18001) | |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2021-11-12 |