| NPI | 1699332254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009568) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000213) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2023-06-05 |