| NPI | 1508012675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ID SLP-1973) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 104084) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2010-08-25 |