| NPI | 1457806200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 16878) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 21227) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |