| NPI | 1497061808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7766) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 104495) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2021-12-21 |