| NPI | 1811542921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012438) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101263) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2026-06-11 |