| NPI | 1467731034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 24381) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 12097918) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2023-12-15 |