| NPI | 1235148586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103509) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 6981) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-05-14 |