| NPI | 1407260029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109087) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109807) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2018-04-02 |