| NPI | 1134298607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 104861) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ 0835) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2021-12-13 |