| NPI | 1003537879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010984) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19145) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 15497) | |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2023-09-11 |