| NPI | 1750785457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012792) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 2074) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2018-03-17 |