| NPI | 1669726535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 11564) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026394) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 105233) | |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2025-04-01 |