| NPI | 1881258473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 87670) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 36823) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2022-02-03 |