| NPI | 1508145046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 117347) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11099) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2020-12-06 |