| NPI | 1184989717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 118855) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012020966) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2021-09-03 |