| NPI | 1063131571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101197) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119939) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2024-07-10 |