| NPI | 1801228416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109789) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2073) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 108103) | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2022-02-01 |