| NPI | 1477793768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012064) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9006) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2025-08-06 |