NPI | 1679685606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 19367) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2006-08-31 |
Last Update Date | 2010-07-29 |