| NPI | 1952532699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113254) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 2019) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2023-09-06 |