| NPI | 1992117147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003288) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 115172) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2024-08-19 |