| NPI | 1467861518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27823) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103944) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2020-10-12 |