| NPI | 1760755672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 34679) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 214948) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2018-04-19 |