| 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 |