| NPI | 1780037325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113264) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009340) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2022-08-10 |