| NPI | 1619448073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MD 10324) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MD 08946) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2022-08-16 |