| NPI | 1922120930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 106077) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TN SP0000003505) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-06-03 |