| NPI | 1104551308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202010638) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 1431566) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-03-14 |