| NPI | 1629854633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012490) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP16056) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2026-09-15 |