| NPI | 1225019177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103661) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 2715) |
| 235Z00000X Speech-Language Pathologist, (Licence: MS S2396) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2019-01-21 |