| NPI | 1700269073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002709) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111306) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2023-03-28 |