| NPI | 1396033809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113131) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 11476) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2022-06-01 |