| NPI | 1669108163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011198) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000939) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2023-12-05 |