| NPI | 1043541469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010505) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103754) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2011-08-30 |