| NPI | 1518683861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011159) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 117866) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-11-09 |