| NPI | 1598944464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4211) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 24659) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |