| NPI | 1184855165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 118356) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006907) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2022-04-25 |