| NPI | 1396327219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010342) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000647) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2022-03-07 |