| NPI | 1871103051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009991) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000546) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2021-07-07 |