| NPI | 1518293273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108276) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009622) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2020-11-10 |