| NPI | 1255010872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010461) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18738) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |