| NPI | 1740345644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3415) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102868) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2023-02-06 |