| NPI | 1306101258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111433) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 36872) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2021-02-03 |