| NPI | 1245945567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL018239) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 114797) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2025-02-17 |