| NPI | 1437795911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 6967116-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 115359) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12014) | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2024-03-25 |