| NPI | 1992072276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001331) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013852) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2021-02-11 |