| NPI | 1861963712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014292) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016877) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-02-22 |