| NPI | 1588164180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 09755) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008314) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-01-27 |