| NPI | 1821352014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6339) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109675) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2015-01-14 |