| NPI | 1194177303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP6557) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 112588) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2018-08-04 |