| NPI | 1881995769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107582) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017260) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2021-01-20 |