| NPI | 1184747537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 102174) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA SLP006251) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2009-06-14 |