| NPI | 1902120678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103803) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: TX 70661) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2023-06-13 |