| NPI | 1730336629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102632) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 1573) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |