| NPI | 1588112775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP23374) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 14620) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |