| NPI | 1821481508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SLO13685) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007470) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2020-03-13 |