| NPI | 1770743692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 24952) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 208156) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2018-08-22 |