| NPI | 1174949093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12567) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103819) |
| Enumeration Date | 2014-03-16 |
| Last Update Date | 2022-07-21 |