| NPI | 1740846294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO .0003527) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 116857) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO 14302323) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2021-03-04 |