| NPI | 1528390267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 13545) |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2010-02-05 |