| NPI | 1235753070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009526) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112692) |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-06-07 |