| NPI | 1952617409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL002447L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA3174) |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2010-08-22 |