| NPI | 1487317988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009832) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108386) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-03-20 |