| NPI | 1750001640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202011951) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MD 10239) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2025-06-06 |