| NPI | 1528317088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110280) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#8562) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2014-07-17 |