| NPI | 1194095760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011259) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11357) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2025-02-27 |