| NPI | 1891989778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102808) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102806) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2011-12-21 |