| NPI | 1033135728 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111109) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007461) | 
| Enumeration Date | 2006-07-14 | 
| Last Update Date | 2015-06-10 |