| NPI | 1962029454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 6751021-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 30153) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |