| NPI | 1174112270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 100469) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 117746) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-09-01 |