| NPI | 1275364184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012460) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S-5388) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2026-07-29 |