| NPI | 1932601358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008201) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003965) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2025-06-12 |