| NPI | 1497007280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP6422) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 37123) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2023-07-06 |