| NPI | 1093861635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 005841-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105439) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2009-10-14 |