| NPI | 1215777396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202011915) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2204001373) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-07-15 |