| NPI | 1013584481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010779) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 9356) |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2026-07-29 |