| NPI | 1194912634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102648) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 2340) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2014-06-30 |