| NPI | 1780110577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28626) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 11589) |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 6774) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-07-28 |