| NPI | 1114474749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111019) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6663) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 22773) | |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 15489) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009135) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-07-18 |