| NPI | 1669861837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111105) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3513) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2023-04-15 |