| NPI | 1457897456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 18714) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP# 4064) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |