| NPI | 1275839607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08058) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 101667) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2016-11-28 |