| NPI | 1508199050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 118596) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007769) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2021-08-11 |