| NPI | 1841950706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119436) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17893) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2023-10-06 |