| NPI | 1689461253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012091) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002654) |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-08-26 |