| NPI | 1225389026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119922) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9781) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2022-08-16 |