| NPI | 1891458816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119420) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 006774) |
| Enumeration Date | 2021-10-17 |
| Last Update Date | 2022-09-10 |