| NPI | 1548879760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010136) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 7274) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2022-08-08 |