| NPI | 1639661200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119372) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 25475) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2022-05-25 |