| NPI | 1295940625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 4599) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102281) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 14521) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2009-03-03 |