| NPI | 1104163583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 14100713) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108307) |
| Enumeration Date | 2013-01-06 |
| Last Update Date | 2016-09-12 |