| NPI | 1750926333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 1750926333) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014903) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2021-06-25 |