| NPI | 1235598152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008125) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 120659) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2023-03-24 |