| NPI | 1699785907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103790) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7667) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-01-24 |