| NPI | 1811253339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 04038) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0000959) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |