| NPI | 1508019589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 104913) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 014088-1) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2012-10-12 |