| NPI | 1326405176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 15969) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 3319) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |