| NPI | 1518114552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103159) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2018-06-23 |