| NPI | 1386831709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005062) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05601) |
| Enumeration Date | 2007-09-30 |
| Last Update Date | 2025-09-12 |