| NPI | 1639647233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S4485) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112159) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 11748) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |