| NPI | 1336433986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 106131) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SC 4547) |
| 235Z00000X Speech-Language Pathologist (Licence: NC 9097) | |
| 314000000X Skilled Nursing Facility (Licence: TX 106131) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |