| NPI | 1063391910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2202012004) |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |