| NPI | 1548923337 |
|---|---|
| Former Name | EDITH PHILIP KISANGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 37724) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13966) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP15979) | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2025-09-03 |