| NPI | 1942984398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL017552) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 8381) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-04-05 |