| NPI | 1609913573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113767) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7310) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2018-01-05 |