| NPI | 1063713857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 33917) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: TX 06-3118) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2011-06-01 |