| NPI | 1073740072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 104911) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 80206) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |