| NPI | 1336670207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 26626) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 113042) |
| 235Z00000X Speech-Language Pathologist, (Licence: IA 085201) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CO 0002559) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2019-01-15 |