| NPI | 1063726180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 106962) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6311) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2014-03-04 |