| NPI | 1992542179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 13984852-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-927) |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2024-07-13 |