| NPI | 1588113922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008225) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61172535) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2024-01-19 |