| NPI | 1780353508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011431) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008487) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2025-09-12 |