| NPI | 1467618595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SLP006845) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 18734) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2009-02-04 |