| NPI | 1538982152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011474) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 031110) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |