| NPI | 1891818704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110450) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05163) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2014-09-17 |