| NPI | 1760909022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112162) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-10-21 |