| NPI | 1851910400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL014748) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WV SLP-1967) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2021-01-28 |