| NPI | 1811388333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113230) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: PR 002182) |
| 235Z00000X Speech-Language Pathologist, (Licence: PR 3079) | |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2018-03-17 |