| NPI | 1841928603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2779) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 121790) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 30001112) | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-09-26 |