| NPI | 1750746467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 20200846) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6861) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2025-02-06 |