| NPI | 1457725236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 112078) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07718) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |