| NPI | 1649885948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09829) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02103L) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2022-05-25 |