| NPI | 1255873220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108161) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 6115) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |