| NPI | 1760170021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011375) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003720) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2025-03-25 |