| NPI | 1992358477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009591) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 28585) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2023-11-27 |