| NPI | 1326713868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010161) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000501) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-09-22 |