| NPI | 1073061438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 4065) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102691) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |