| NPI | 1649572561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 020110-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 122146) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2024-09-20 |