| NPI | 1912134883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108410) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 0094) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2018-09-06 |