| NPI | 1366723694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM C-4937) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108293) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2014-01-21 |