| NPI | 1184397762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009909) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6653) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |