| NPI | 1821468570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP25632) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 110550) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2020-04-27 |