| NPI | 1538418363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 109421) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NM C-5188) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2022-01-04 |