| NPI | 1689024705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112571) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-5985) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2023-08-21 |