| NPI | 1386201218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 14361) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2204000264) |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2024-03-06 |