| NPI | 1306499462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115815) |
| Additional Taxonomies | 251E00000X Home Health |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 115815) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2020-09-03 |