| NPI | 1821590100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 36069) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 36069) | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |