| NPI | 1063669513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 123306) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009575) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2025-01-06 |