| NPI | 1649662347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 111009) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 2002021823) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |