| NPI | 1265847487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010372) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 023831) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-06-09 |