| NPI | 1295345130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015963) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 16823) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2022-01-13 |