| NPI | 1265189773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 36868) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 115847) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 18087) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 30002694) | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2024-08-06 |