| NPI | 1174351548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 11588) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204001460) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2026-02-19 |