| NPI | 1679778799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18376) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 19982) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2018-10-09 |