| NPI | 1316423676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107434) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4311) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2021-11-15 |