| NPI | 1477915916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011920) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003935) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2026-03-11 |