| NPI | 1174886089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115414) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 4175) |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 263107912) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2021-09-17 |