| NPI | 1972858793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108157) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2024-05-13 |