| NPI | 1790294833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015284) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017033847) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2020-08-13 |