| NPI | 1689407900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011971) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 035628) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2026-04-27 |