| NPI | 1447572946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112338) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 830) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2023-03-27 |