| NPI | 1245439447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112307) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1100) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP-10611) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2022-04-08 |