| NPI | 1386966414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 16584) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 01100024) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2023-10-30 |