| NPI | 1568958098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011620) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 114615) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-09-16 |