| NPI | 1265063515 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008530) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 7009) | 
| Enumeration Date | 2020-01-27 | 
| Last Update Date | 2025-08-20 |