| NPI | 1508289984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5759) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 34802) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: NM 5024) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2023-02-08 |