| NPI | 1376924555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5932) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 110397) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2024-02-26 |