| NPI | 1295959864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 10505565-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014947) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-04-01 |