| NPI | 1609167105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 04272) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC 000311) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |