| NPI | 1114642089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016650) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21961) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2025-10-29 |