| NPI | 1831540574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113505) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016020576) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-07-21 |