| NPI | 1164746616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105638) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 8867) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |