| NPI | 1639299811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: LA 4785) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 103013) |
| 235Z00000X Speech-Language Pathologist (Licence: CA SP 15711) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-06-13 |