| NPI | 1225614704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 12113552-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 23254) |
| 261QH0700X Clinic/Center, Hearing and Speech (Licence: UT 12113552-4102) | |
| 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA 23254) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |