| NPI | 1609127919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012985) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 8496) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2021-09-16 |