| NPI | 1376766758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 102611) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 80464) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2017-01-19 |