| NPI | 1508438912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL017364) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134624) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2023-12-03 |