| NPI | 1609340918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014915) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16871) |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2022-10-21 |