| NPI | 1215211859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111949) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2015-11-12 |