| NPI | 1144418294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103694) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 006371) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |