| NPI | 1558833756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012989) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA 14090088) |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2022-05-20 |