| NPI | 1396981981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 10074) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 100741) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2023-12-13 |