| NPI | 1346949500 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: PR 4465)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: VA 2202010776)  | 
| Enumeration Date | 2023-02-27 | 
| Last Update Date | 2023-02-27 |