| NPI | 1174625529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101526) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009361) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2010-03-15 |