| NPI | 1265234678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL019255) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003766) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2026-06-23 |