| NPI | 1144459959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 236) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 18441) |
| 235Z00000X Speech-Language Pathologist, (Licence: IA 01417) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |