| NPI | 1245575828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 12001203-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 19102) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2025-08-09 |