| NPI | 1073578639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103580) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3041) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2011-10-31 |