| NPI | 1083011761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH 9746) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 110823) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |