| NPI | 1255983458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009517) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09031) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2023-04-10 |