| NPI | 1144384272 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 14540) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 37) | 
| Enumeration Date | 2006-12-21 | 
| Last Update Date | 2007-07-08 |