| NPI | 1790290138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010913) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6186) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2023-07-31 |