| NPI | 1013193853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102829) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2668) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2009-08-14 |