| NPI | 1821391517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108405) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 3037) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2015-08-06 |