| NPI | 1811625262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 6723993-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 437369) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2024-08-19 |