| NPI | 1679915201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010282) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08367) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11826) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 025845-1) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2017-01-30 |