| NPI | 1801182316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011432) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006354) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2023-03-21 |