| NPI | 1831638196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15062) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 114735) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2018-07-10 |