| NPI | 1639425010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL010598) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: DE 01-0001334) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2019-09-20 |