| NPI | 1326564261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011061) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026802) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2024-09-09 |