| NPI | 1003693839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202011113) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 033554-01) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2025-09-02 |