| NPI | 1891543351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010612) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 12372) |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-08-05 |