| NPI | 1740839695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009607) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000398) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2024-04-24 |