| NPI | 1801370713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014656) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA PSL000575) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2022-03-15 |