| NPI | 1609264365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 29724) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 110237) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 111575) | |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2020-10-13 |