| NPI | 1841327996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103928) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 3115) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2009-02-04 |