| NPI | 1720625734 |
|---|---|
| Former Name | PENNY LOUISE CLEMENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA12172) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |