| NPI | 1215647862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101074) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA PSL001916) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2025-04-05 |