| NPI | 1396278172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 9992) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111730) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |