| NPI | 1285142729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 11995) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2021-11-30 |