| NPI | 1104039536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3776) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102961) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |