| NPI | 1104461052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115636) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14308138) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2020-11-19 |