| NPI | 1659913275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10060) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014827) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2022-05-05 |