| NPI | 1932760758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014340) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010322) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2023-06-06 |