| NPI | 1669144358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0005987) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 115009) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2024-07-24 |