| NPI | 1952823676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008633) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013037) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2024-10-14 |