| NPI | 1235860578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011064) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30000795) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2026-08-04 |