| NPI | 1154817674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235500000X Specialist/Technologist (Licence: PA SL017380) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 13037) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2023-12-06 |