| NPI | 1295384964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115924) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM CF6832) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2022-09-12 |