| NPI | 1861986713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014091) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA PSL000172) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-07-21 |