| NPI | 1235589805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013436) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O4-0000484) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2022-07-21 |