| NPI | 1396807384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6752) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006493) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2026-05-22 |