| NPI | 1235618513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115160) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-6369) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2021-02-18 |