| NPI | 1194572602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012169) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL018737) |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2025-12-05 |