| NPI | 1427748029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011084) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10782) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2026-02-13 |