| NPI | 1255091534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 32722) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 114468) |
| 235Z00000X Speech-Language Pathologist, (Licence: AR 200703) | |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |