| NPI | 1770958514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003975) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 01143907) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2025-01-14 |