| NPI | 1346557097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 107001) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 020255) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2011-08-23 |