| NPI | 1134551674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 1827) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108673) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 20737) | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |