| NPI | 1043349897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 15099) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 3550) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |