| NPI | 1366929663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014567) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA PSL000347) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2022-12-19 |