| NPI | 1447678545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 023325) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105012) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |