| NPI | 1760119127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 11114) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016466) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2024-12-11 |