| NPI | 1154652055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102441) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 17536) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2010-01-18 |