| NPI | 1184939449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111074) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: DE 04-0000282) |
| 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001165) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2023-02-14 |