| NPI | 1295923381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 1360) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 15245) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |