| NPI | 1114154705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13528) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 104875) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2015-10-01 |