| NPI | 1932231057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL003093L) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC 004898 L) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-09 |