| NPI | 1174179105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015080) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA PSL000974) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2021-03-24 |