| NPI | 1134507056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012225) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA SL012225) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2023-04-11 |