| NPI | 1417575002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR 200513) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 114521) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2021-02-15 |