| NPI | 1366127128 |
|---|---|
| Former Name | SAMANTHA MOULDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011513) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204001196) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2025-07-31 |