| NPI | 1598162372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100515) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 4185) |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2014-11-22 |