| NPI | 1598059107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009513) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106007) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA17422) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2024-06-29 |