| NPI | 1942782487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 37725) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2022-02-17 |