| NPI | 1295016582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109722) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 01071538) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2014-02-12 |