| NPI | 1700164571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112716) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2555) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002841) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2024-03-19 |