| NPI | 1841014206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 121959) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 20376) |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |