| NPI | 1245643147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: 35139) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 35139) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2020-03-03 |