| NPI | 1154053643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 122305) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 7606) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2024-09-30 |