| NPI | 1669975389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 5078) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008828) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2023-05-15 |