| NPI | 1053987925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 123236) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5648) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-11-13 |