| NPI | 1861507527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 14896) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sa6728) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |