| NPI | 1053968495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 18263) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009745) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2024-08-20 |