| NPI | 1013417260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 15173) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2022-10-31 |