| NPI | 1811360969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114682) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 3421) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 38612) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2018-06-24 |