| NPI | 1396018909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110623) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 25627) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2022-08-04 |