| NPI | 1720766595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL017132) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA PSL001994) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-09-16 |