| NPI | 1740690858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 12211) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2016-12-09 |