| NPI | 1457660201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106371) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3661) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2011-11-16 |