| NPI | 1518487719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 6215) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004228) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 105365) | |
| 235Z00000X Speech-Language Pathologist, (Licence: UT 12714800-4102) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-04-19 |