| NPI | 1649797309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009565) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019045744) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2023-10-12 |