| NPI | 1467639393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101186) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-929) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2022-06-27 |