| NPI | 1225758238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012336) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101797) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 121095) | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2026-03-05 |