| NPI | 1962742882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 119359) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA sp 20417) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2023-05-24 |