| NPI | 1235435645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT RC-20-0509) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1011) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2021-10-28 |