| NPI | 1073814968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106333) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 10691) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2013-04-14 |