| NPI | 1073013124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2203000347) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004067) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2023-03-13 |