| NPI | 1811309974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108590) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S3531) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2020-11-19 |