| NPI | 1457740342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113284) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 19098) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2022-10-21 |