| NPI | 1932327400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05592) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007781) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11920) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-08-12 |