| NPI | 1962796938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106821) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6251) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2021-03-19 |