| NPI | 1821375312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108741) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007655) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2020-12-28 |