| NPI | 1326461880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 120083) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11465) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2022-08-26 |