| NPI | 1215552492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014179) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16529) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2023-11-27 |