| 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 |