| NPI | 1346953577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL018552) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MD 10109) |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2025-07-01 |