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 |