| NPI | 1336564723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105048) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2013009616) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 3608) | |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |