| NPI | 1821768797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010164) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 12013623-4102) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2025-09-04 |