| NPI | 1124388368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 200475) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 101705) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2019-03-21 |