| NPI | 1437706611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL017666) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MD 01975L) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2024-07-22 |