| NPI | 1851706741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110279) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2024012122) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-10-23 |