| NPI | 1255878682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009191) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 113232) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2019-09-04 |