| NPI | 1376808089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114246) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4783) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2021-03-18 |