| NPI | 1700018017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106407) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 876) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2023-06-21 |