| NPI | 1710605373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000968) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011043) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-10-21 |