| NPI | 1962521005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101815) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 23960) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2013-09-09 |