| NPI | 1417357997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL012122) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA 1417357997) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2021-03-17 |