| NPI | 1538544150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 117834) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 025927) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012764) | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2024-01-30 |