| NPI | 1952734931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112353) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2021-09-13 |