| NPI | 1730766015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119443) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2022-05-25 |