| NPI | 1609303916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1928) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 107064) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 24911) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009568) | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-07-21 |