| NPI | 1760163539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204001203) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001700) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2025-10-22 |