| NPI | 1164605697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004557A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 19716) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |