| NPI | 1578159018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 2118) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 117147) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 30119) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009067) | |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2020-12-18 |