| NPI | 1659967149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7130) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 116844) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2020-12-18 |