| NPI | 1740604032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008303) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109298) |
| 235Z00000X Speech-Language Pathologist, (Licence: WY SP-1016) | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2022-03-12 |