| NPI | 1093607707 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: VA 2202012078)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: WI 6660-154)  | 
| 235Z00000X Speech-Language Pathologist,   (Licence: PA SL018690)  | |
| Enumeration Date | 2025-07-17 | 
| Last Update Date | 2025-08-11 |