| NPI | 1508042623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA-9345) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119437) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2022-09-07 |