| NPI | 1750634879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110408) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 001906) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2016-07-09 |