| NPI | 1205272580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100567) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10436) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2022-10-18 |