| NPI | 1366525008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103004) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 12154887) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-10-27 |