| NPI | 1174704431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2008016779) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 19282) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2009-08-28 |