| NPI | 1174060354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012900) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1965) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2023-02-25 |