| NPI | 1881211464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009597) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012713) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2021-02-22 |