| NPI | 1598233728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 34159) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112116) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2023-05-29 |