| NPI | 1417169020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 109792) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 1440-154) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2014-02-11 |