| NPI | 1871648873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP1609) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 10996) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-05-22 |