| NPI | 1992955256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S2452) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103959) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2013-10-16 |