| NPI | 1447726070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA PSL000633) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE SL014838) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2021-03-24 |