| NPI | 1972918324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119870) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-554) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2022-07-25 |