| NPI | 1487191771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013470) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009292) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2022-07-21 |