| NPI | 1073927141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016029) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5489) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2023-08-24 |