| NPI | 1184661399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 143161) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2580-154) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2009-12-19 |