| NPI | 1588296776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008816) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0012266) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2023-08-29 |