| NPI | 1043548704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5159) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105376) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2012-11-13 |