| NPI | 1912408980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004066) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09396) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2024-10-19 |