| NPI | 1194120949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108029) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP10374) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2017-01-08 |