| NPI | 1730583774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109362) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 0188501) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2023-10-02 |