| NPI | 1639859416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 16550) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 117120) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |