| NPI | 1174070346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 16698) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID 2865) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 23846) | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2022-09-29 |