| NPI | 1740616655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 115936) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP0001976) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO ASHA14045910) | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2019-09-17 |