| NPI | 1750518874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 2765) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105001) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2021-06-22 |