| NPI | 1205373339 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 122822) | 
| Additional Taxonomies | 101Y00000X Counselor | 
| Enumeration Date | 2017-01-26 | 
| Last Update Date | 2024-11-19 |