| NPI | 1487925830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 1251) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 17616) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |