| NPI | 1720710262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15443) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119793) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2024-03-06 |