| NPI | 1942750716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008047) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3821) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2025-07-30 |