| NPI | 1962608273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 14991) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 1727) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2018-11-28 |