| NPI | 1669435863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005366) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA 50-1216113) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2024-08-17 |