| NPI | 1528533510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014532) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 12036) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2023-04-26 |