| NPI | 1982187779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001713) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL014441) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 6944) | |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2019-10-15 |