| NPI | 1770272213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 11656) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011306) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2025-09-10 |