| NPI | 1093334310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202009895) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2204000458) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2025-08-15 |