| NPI | 1477100121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000349) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001468) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2024-11-12 |