| NPI | 1184875205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115611) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS s4188) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2022-05-20 |