| NPI | 1477900512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 5671) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008154) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2024-12-06 |