| NPI | 1386903490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114422) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5055) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 10650) | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2022-12-06 |