| NPI | 1699224501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012177) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 529075) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP16047) | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2025-10-23 |