| NPI | 1841525896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113051) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009148) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2018-01-15 |