| NPI | 1083043574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 18123) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60239143) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2019-12-10 |