| NPI | 1922424522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110216) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-5492) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2018-11-16 |