| NPI | 1093033649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AK 164899) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 103294) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2022-05-05 |