| NPI | 1043762255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 113008) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012973) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |