| NPI | 1235468950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107799) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP 6224) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2018-08-27 |