| NPI | 1972844678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 113188) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 10174) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2017-03-02 |