| NPI | 1578285367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02610L) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2025-01-02 |