| NPI | 1396972691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109917) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 545) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2015-01-29 |