| NPI | 1043275365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL-000963-L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL000963l) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-08-25 |