| NPI | 1740771807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77042) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 113669) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2020-03-29 |