| NPI | 1356009187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010211) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 22656) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2025-01-14 |