| NPI | 1184944647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 14027908) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY SLPLPA00211722) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2022-11-23 |