| NPI | 1033560024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112980) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111704) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2022-08-15 |