| NPI | 1437632148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 104783) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP19109) |
| Enumeration Date | 2018-09-09 |
| Last Update Date | 2022-06-01 |