| NPI | 1902151210 |
|---|---|
| Former Name | DEBRA FUNDERBURK PELHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 3935) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 786) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |