| NPI | 1508167487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107669) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017497) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2022-05-18 |