| NPI | 1134535057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011864) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL01186) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2021-01-25 |