| NPI | 1316476344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202008584) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 15270) |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2025-06-12 |