| NPI | 1487267142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009956) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 263332) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13854) | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2026-09-10 |