| NPI | 1023751716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015841) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: PA SL015841) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |