| NPI | 1154979425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119355) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 14268) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2022-04-19 |