| NPI | 1295918290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105921) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7395) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2015-09-23 |