| NPI | 1972908440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 60466928) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-8790) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 107983) | |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2020-04-17 |