| NPI | 1861108375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003495) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 121596) | |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-11-17 |