| NPI | 1588962799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3727) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 104107) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2022-10-14 |