| NPI | 1760154892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78193) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 9708) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 118900) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-10-25 |