| NPI | 1528333143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114858) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 7315) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2019-01-23 |