| NPI | 1609523133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 5228) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 114917) |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-09-07 |