| NPI | 1932677051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 40862) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2024-07-08 |