| NPI | 1114127651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 3930) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103430) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2017-05-12 |