| NPI | 1134430879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115210) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 28239) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA 006941) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2022-09-22 |